Individual
AHMAD MAHALLATI-SHIRAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD60221637
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043423775
—
WA
05
—
413127400
—
MD
01
—
925031-01
BLUE CROSS/BLUE SHIELD
MD
01
—
P00981400
RAILROAD MEDICARE
WA
01
—
S062-0323
BLUE CROSS/BLUE SHIELD REGIONAL
MD
Enumeration date
05/08/2007
Last updated
06/25/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up